Organization
SATELLITE HEALTHCARE INC
Active
Other names
Satellite Dialysis, Satellite Healthcare Rohnert Park
Organization subpart
No
Provider details
NPI number
Authorized official
BERNADETTE VINCENT (PRESIDENT/COO)
(650) 404-3600
Entity
Organization
Contact information
Practice address
6265 COMMERCE BLVD, SUITE 156, ROHNERT PARK, CA 94928-6300
(707) 303-2040
(707) 586-1098
Mailing address
300 SANTANA ROW, SUITE 300, SAN JOSE, CA 95128-2423
(707) 303-2040
(650) 625-6008
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164767836
—
CA
01
—
550002412
STATE LICENSE
CA
Enumeration date
12/06/2012
Last updated
01/11/2023
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